Individual
ELIZABETH SUSAN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-6600
Mailing address
5939 GRACE LEE AVE, SYKESVILLE, MD 21784-8713
(302) 542-1392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02529L
MD
Other
Enumeration date
07/08/2022
Last updated
08/16/2023
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